Individual provider · Type 1 NPI
Eitan Ilyayev, (PA)
Medical Physician Assistant · Rego Park, NY
NPI number
1609285329
Active
Practice location
9819 64th Ave Apt 4G
Rego Park, NY 11374-2526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 017825 (NY) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Rego Park
About NPI 1609285329
Eitan Ilyayev, (PA)'s National Provider Identifier is 1609285329, issued on Aug 6, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rego Park, NY. The record was last updated on Aug 11, 2014.